targeted nutritional treatment of mental illness presenter: dr richard h stuckey mb.bs. drcog....
TRANSCRIPT
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TARGETED NUTRITIONAL
TREATMENT OF MENTAL ILLNESS
Presenter: Dr Richard H Stuckey MB.BS. DRCOG. FAANaOS.
Suite 15/122 Griffith Street
Coolangatta
Queensland, 4225
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OUTLINE
This presentation details the impact that the introduction of targeted nutritional treatment for the management of mental illness has had on a standard general medical practice.
Areas covered include: Getting started Different types of nutritional imbalance Clinical patterns with different imbalances Biochemical patterns Nutritional protocols Case presentations 12 month follow-up on 567 patients The future
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METABOLIC PATHWAYS
[INSERT SCANNED RAPH]
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INVESTIGATIONS
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INVESTIGATIONS
WHOLE BLOOD HISTAMINE 0.4---0.6 micm/l
URINE PYRROLE EXCRETION under 10 micgm/100ml
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UNDERMETHYLATION (HISTADELIA): Clinical Characteristics
High achiever Self motivated
through school High achiever before
illness Strong willed High motivation High libido
High energy High motivation Addictive behaviour Calm demeanour High inner tension Low pain tolerance Sparse hair growth Family history
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UNDERMETHYLATION: Clinical Characteristics (cont)
Catatonic psychosis Delusional Phobias Diagnoses of
OCD/ODD Frequent headaches Difficult transitions
Denial of illness Non compliance Social isolation Ruminations
regarding past Heat intolerant Seasonal allergies
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BIOCHEMISTRY OF UNDERMETHYLATION
High histamine Low Zinc Low copper High basophil count Low homocysteine High heavy metals on hair analysis
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UNDERMETHEYLATION:Medication Reactions
Adverse reactions to benzodiazepines
Good response antihistamines Adverse reaction B complex vitamins
Good response SSRIs
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UNDERMETHYLATION:Supplements & Improvements
SUPPLEMENTS: Vitamin C, vitamin B6, P5P, Zinc,
Methionine, SAMe, Calcium, Magnesium
IMPROVEMENT EXPECTATION: 8 to 12 months
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OVERMETHYLATION (HISTAPENIA):Clinical Characteristics
Poor achiever Poor motivation Artistic/musical ability High anxiety/panic Low libido Overweight Easily frustrated
Sleep disorder Paranoia Depression Self mutilation Self isolation Nervousness Tinnitis
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OVERMETHYLATION: Clinical Characteristics (cont)
Food/chemical sensitivities
High pain threshold Past Hx ADHD Hyperactive
psychosis
Religiosity Grandiosity Nil family history Hirsutism Eczema/dry skin
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BIOCHEMISTRY OF OVERMETHYLATION
Low histamine Low Zinc Low basophil count Copper overload
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OVERMETHYLATION:Medication Reactions
Adverse reaction anti-histamines Good response benzodiazepines Adverse reaction SSRIs Improvement on Lithium Adverse reaction oestrogen therapy
Adverse reaction Methionine/ SAMe
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OVERMETHYLATION:Supplements & Improvements
SUPPLEMENTS: Vitamin C, vitamin B6, P5P, Zinc,
Niacinamide, Folate, vitamin B12, vitamin E
IMPROVEMENT EXPECTATION 3 to 6 months
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PYRROLURIA (zinc deplete): Clinical Characteristics Poor stress control Anxiety Mood swings Temper Severe depression Irritability Little or no dream recall Poor short term memory Noise/light sensitivity
Affinity for spicy food Reading disorder Behaviour/learning
problems Underachievement at
school Fear or airplane travel Impulsivity Hyperactivity
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PYRROLURIAClinical Characteristics (cont)
Food and chemical allergies
Delay/skip breakfast Inability to tan Frequent infections Poor growth – FTT
Premature greying Poor muscle
development Delayed puberty Poor wound healing Delicate facial
features
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BIOCHEMISTRY OF PYRROLURIA
Elevated Kryptopyrroles Zinc depletion
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PYRROLURIA:Supplements & Improvement
SUPPLEMENTS: Vitamin C, vitamin B6, P5P, Zinc
IMPROVEMENT 1 to 3 months
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CASE HISTORY 1: Schizophrenia
Characteristics Male, age 26 Average scholar, average at sport, did not try hard to
improve either Attended TAFE and worked in bank Regular marijuana use from age 18 Psychotic breakdowns age 23 and 24 in hospital
both times Clinical characteristics: overmethylation Biochemistry: normal methylation.
Histamine 0.6 Zinc 12.6 Urine Kryptopyrroles 7.2
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CASE HISTORY 1: Schizophrenia
Progress 6 months later
No difficulty with supplements
Prescription medication unchanged
Family notices big improvement
Major improvements: head clearer, thinking better, more alert, no voices, reacting better
12 months later Continued clinical
improvement Reduced prescription
medication Reduced nutritional
supplement dose Has again enrolled at
University to complete his study
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CASE HISTORY 2: Schizophrenia
Characteristics Male, age 28 Multiple hospitalizations over prior 6
years Had not worked for 6 years Floridly psychotic at time of consultation Clinical characteristics: overmethylation Biochemistry: overmethylation
Histamine 0.1 Zinc 13.7 Urine Kryptopyrroles 16.6
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CASE HISTORY 2: Schizophrenia
Progress
12 months later: Feels generally healthy and stable Almost nil delusions and paranoia Not hospitalised during the year Better quality of life Commenced paid computer instruction
work Would also like to work with schizophrenic
support groups
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CASE HISTORY 3: DepressionCharacteristics
Female, age 41 High achiever at school and at ballet - pushed hard by
father Severe depression commenced when touring with ballet
company at age 20 - depressed ever since Two failed marriages Frequent suicide ideations, 3 suicide attempts, best
friend suicided Regular hospital admissions, was having weekly ECT
prior to consultation Clinical characteristics: undermethylation Biochemistry: overmethylation
Histamine 0.3 Zinc 13.1 Urine Kryptopyrroles 0
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CASE HISTORY 3: Depression Progress
6 months later: Moderate dyspepsia
with supplements so dose reduced
Prescription medication unchanged
Days more even No hospital No ECT Not “down” as much
12 months later: No hospital
admissions No ECT Reduced
prescription and nutritional doses
Resumed painting and has had a number of public showings
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CASE HISTORY 4: DepressionCharacteristics
Male, age 39 Many years of relapsing depression, anxiety
and lack of energy Had not worked for 2 years Clinical characteristics: overmethylation Biochemistry: zinc deplete
Histamine 0.6 Zinc 10.8 Urine kryptopyrroles 11
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CASE HISTORY 4: Depression Progress
Initial treatment was as zinc deplete with no change in 3 months
Switched to overmethylation protocol which lead to steady improvement
12 months later: Been in work 6 months in his own water purification
business Gradually increased hour worked to 8 hours per
day Aropax dose and nutrient dose halved Clinical control maintained
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CASE HISTORY 5: 0DD
Characteristics Female, age 11 Normal birth and neo natal period Abnormal tantrums age 2 and explosive temper ever
since “Dysfunctional” family. Parents split and alternated care
of child. Mother could no longer cope with the anger so child cared for by grandmother with parents having access alternate weekends
Multiple attempts at behaviour therapy and extensive counseling failed
Clinical characteristics: Pyrroluria Biochemistry: undermethylation and Pyrroluria
Histamine 1.3 Zinc 11.5 Urine Kryptopyrroles 23
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CASE HISTORY 5: ODD
Progress 6 months later:
clear change in 1st 2 months
Trying to be a better person
Does not yell or shout at grandmother
Cleans room Doing better at school Regresses at
weekends with either parent, father feels she does not need supplements
12 months later: Much the same as at 6
months Behaviour clearly
different if taking the supplements and in grandmother’s care
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CASE HISTORY 6: Aggression
Characteristics Male, 11years Expelled from 3 schools - daily fights and
bullying Poor attention, poor academic performance Had insight into his behaviour but could not
explain his outbursts Clinical characteristics: Pyrroluria Biochemistry: Undermethylation
Histamine 1.0 Zinc 8.5 Urine Kryptopyrroles 2.5
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CASE HISTORY 6: AggressionProgress
4 months later: No fights Walked away from
confrontation Less victimization by
teachers Grades from C/D to
B/A Showing affection to
mother
12 months later: Normal child Above average
scholar Nil aggression Supplement dose
reduced Clinical improvement
maintained
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CASE HISTORY 7: Anxiety Characteristics
Male, age 26 Preader-Willi Syndrome Delayed mental development Severe anxiety, temper and intermittent
aggression Clinical characteristics: Pyrroluria Biochemistry: Pyrroluria
Histamine 0.4 Zinc 9.8 Urine Kryptopyrroles 30
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CASE HISTORY 7: Anxiety Progress
6 months later: Happier, calmer,
less anxiety and aggression
Psychiatrist comment, “Is this the same patient?”
12 months later: “Different person” Minimal anxiety Supplement dose
reduced Clinical control
maintained
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CASE HISTORY 8: Anxiety
Characteristics: Male, age 7 Generalised anxiety with extreme separation
anxiety at school Biochemistry: undermethylation
Histamine 1.1 Zinc 12.5 Urine Kryptopyrroles 19.6
Progress - 12 months later: steady improvement throughout year Attending school with nil separation difficulty Socialising normally
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CASE HISTORY 9: Anxiety
Characteristics: Female, age 44 Many years of anxiety, stress, pessimism and
worry Histamine 1.2 Zinc 12.5 Urine Kryptopyrroles
6.5
Progress - 12 months later: Internal anxiety slowed a lot Stress level down, less worried Happier, calmer, optimistic
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CASE HISTORY 10: Anxiety
Characteristics: Male, age 62 Highly successful and wealthy business man Many years has been anxious and “over
reactionary” Biochemistry: Zinc deplete
Histamine 0.5 Zinc 10.5 Urine Kryptopyrroles 0
Progress - 12 months later Less anxious Less reactionary “Best he has felt for years”
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CASE HISTORY 11: OCDCharacteristics
Female, age 42 Obsessive Compulsive Disorder (OCD) for last 10 years,
developed through an abusive first marriage. Reclusive 12 hours of personal or house cleaning each day Hours spent under the shower Frequent headaches Attendance at the consultation was a major effort Biochemistry: Pyrroluria
Histamine 0.5 Zinc 11.1 Urine Kryptopyrroles 139.5
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CASE HISTORY 11: OCDProgress
Rapid improvement initially and steady improvement over the year
12 months later: House cleaning 2 hours, 2 days per week. Self hygiene and showering like a “normal” person. No
headaches. Socialises normally, shops as others would and leads a
normal life. Reluctant to phase out the anafranil as she is doing so
well Husband’s comment: “Thank you for giving me my wife
back” Feels she has OCD beaten
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CASE HISTORY 12:Bipolar Affective Disorder
Characteristics
Male, age 22 Anxiety, depression, mania for last 4 years. Four hospitalisations during this time Not worked or studied for 4 years Erratic bowel motions for many years Biochemistry: undermethylation
Histamine 0.7 Zinc 12.8 Urine Kryptopyrrole 0
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CASE HISTORY 12:Bipolar Affective Disorder
Progress
Rapid clinical response to gluten withdrawal Steady improvement over 12 months 12 months later:
Feeling well Doing more More confidence No “highs” No hospitalizations Resuming study of fine arts at university in 2006
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CASE HISTORY 13: Autism
CHARACTERISTICS: Male 6 years Normal physical development, virtually mute, panic in close
situations Biochemistry: Undermethylation, Pyrroluria
Histamine 1.7 Zinc 12.1 Urine Kryptopyrrooles 39.6 Progress - 8 weeks later:
Quieter, more relaxed Said more words in 4 weeks than he had in 4 years
Progress - 12 months later: Steady increase in vocabulary Some short sentences, better comprehension Less anxiety Able to sit in consultation room with doors closed Repetitive, obsessive behaviour persists
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CASE HISTORY 14: Autism
CHARACTERISTICS: Male 4 years At start mute, irritable, unable to remain in consulting
room. Obsessive behaviour Grossly abnormal bowel motions Biochemiistry: normal methylation, Pyrroluria
Histamine 0.7 Zinc15.4 Urine Kryptopyrroles 27.5 Progress
4 months later: Counting to 20 repetitively. Shut door of consulting room
8 months later: Said “Good morning Doctor Stuckey” 12 months later: Bowels normal, toilet trained, saying 4+
word sentences, markedly better receptive language
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Patient Diagnosis
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1 YEAR SURVEY RESULTS
Total Start Drop Total Comp 1 Year Nil Respond Partial Improv Major Improv
AUTISM 130 118 10 108 21 38 49
ASPERGERS 12 11 4 7 3 2 2
ADHD 41 37 9 28 9 3 16
ANXIETY 90 84 18 66 9 14 43
BPAD 44 40 15 25 3 5 17
DEPRESSION 142 117 34 83 14 16 53
SCHIZOPHRENIA 81 66 17 49 8 11 30
OTHER 27 19 3 16 3 2 11
TOTALS 567 492 110 382 70 91 221
% of starters - - 22.4% - 14.2% 18.5% 44.9%
% of compliers - - - - 18.3% 23.8% 57.9%
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CONTROL GROUP
30 PATIENTS WHO DID NOT START
MAJOR IMPROVEMENT…….5……16% PARTIAL IMPROVEMENT…..5……16% NIL IMPROVEMENT…………16…..53% RETURNED …………………. 4….. 15%
Hospital Days for these 30………….650 Hospital Days [est] for 489
in treatment group…………………..300